| |
3670 Parker Blvd Ste 102 Pueblo CO 81008-2285 | |
(719) 584-1300 | |
Not Available |
Full Name | |
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Speciality | General Acute Care Hospital |
Location | 3670 Parker Blvd Ste 102, Pueblo, Colorado |
Authorized Official Name and Position | Jon E Riggs (CFO) |
Authorized Official Contact | 7195844000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7901 E Lowry Blvd Mail Stop F402 Denver CO 80230-6507 Ph: () - | 3670 Parker Blvd Ste 102 Pueblo CO 81008-2285 Ph: (719) 584-1300 |
NPI Number | 1134751712 |
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Provider Enumeration Date | 02/11/2020 |
Last Update Date | 04/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134751712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
282N00000X | General Acute Care Hospital | (* (Not Available)) | Primary |
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